C09977716 / invoice 10000

severe erythema and facial angiooedema, also lateral rfl, left axilla.
start pred 20mg sid 3d, 1/2 sid 1 week, recheck
ceph 600mg 1/2 sid/

- Presenting for: Charlie presenting for acute licking of a front paw and intermittent limp.
- Onset: Owner noticed excessive licking of the paw on Wednesday night after returning from the beach; limp noted this morning.
- History of Present Illness: Owner reports Charlie ran on the beach earlier in the week. On return home Wednesday night, Charlie immediately began licking a front paw much more than usual. This morning Charlie showed a bit of a limp. Owner denies exposure to bluebottles at the beach and reports minimal debris there. Possible exposure to backyard with sandy base, weeds, and Pacific palms.
- Past History: Owner referenced a procedure discussed with a specialist that may need to be done within approximately 3 months to avoid disuse and muscle atrophy; no further details provided.
- Lifestyle Information: Recent travel to the beach. Access to a backyard with sandy ground, weeds, and Pacific palms.

Sent email to Eugene - Owners are going to wait a while before scheduling the left TPLO surgery.